代表性不足的少数群体的肺高血压:叙述性审查
Johanna Contreras1, Jeremy Nussbaum1, Peter Cangialosi1
1Division of Heart Failure and Cardiac Transplantation, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Journal of clinical medicine
|January 11, 2024
概括
种族和民族少数群体面临更高的肺高血压 (PH) 和相关疾病的比率. 解决健康的社会决定因素和增加研究多样性对于健康公平至关重要.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 心血管和肺部医学心血管和肺部医学
背景情况:
- 少数种族和民族群体经历了不成比例的肺高血压 (PH) 发病率和发病率的负担.
- 相关的心血管,肺和全身疾病加剧了这些人群的健康差异.
- 健康的社会决定因素,包括获得医疗保健,系统偏见,社会经济地位和环境因素,都对这些不平等造成了重大影响.
研究的目的:
- 突出影响少数群体的肺高血压 (PH) 的重大健康差异.
- 为了强调少数群体患者在PH研究中的代表性不足.
- 倡导有针对性的战略来缓解这些差异,并促进健康公平.
主要方法:
- 文献综述和对现有关于PH患病率和不同人群的结果数据的分析.
- 检查健康的社会决定因素对PH差异的影响.
- 评估少数群体参与与PH相关的临床试验和研究研究.
主要成果:
- 数据表明,在少数种族和民族群体中,PH的发病率和发病率较高.
- 健康的社会决定因素被确定为这些差异的主要驱动因素.
- 少数群体患者在PH研究中的代表性仍然很低,阻碍了针对性干预的发展.
结论:
- 迫切需要采取行动,以解决PH对少数群体的不成比例影响.
- 加强少数群体参与研究的举措对于推进PH知识和治疗至关重要.
- 打击获得医疗保健的不平等,改善与PH相关疾病的管理,是实现健康平等的关键步骤.
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